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Strong Minds, Strong Futures. A trauma-informed system of care initiative for adolescents with behavioral health issues and their families . The problem. High levels of placement Poor Outcomes Health Disparities Uncoordinated and poor quality care.
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Strong Minds, Strong Futures A trauma-informed system of care initiative for adolescents with behavioral health issues and their families
The problem Draft Plan 6/20/12
High levels of placement Poor Outcomes Health Disparities Uncoordinated and poor quality care • 2nd only to WY in use of institutional care (2010 AFCARS data) • 56.3% of youth in DYC have behavioral health needs requiring professional intervention. (2011 DYC Continuum of Care Report) • Increase in teen suicides, 49 deaths in 2009. (Kids Count, 2011) • Children of color overrepresented in corrections and underrepresented in treatment system . (2000 Minority Over-Representation Child Welfare report, 2011 DYC Continuum of Care Report, 2009 DBH Population in Need) What we know Draft Plan 6/20/12
Meta-Analysis of 30 Colorado Reports What we know Draft Plan 6/20/12
The Vision Draft Plan 6/20/12
Administrative structure to coordinate care and monitor outcomes Care Management Entities • Improve quality of services and supports Trauma Informed System and Services • Trauma Informed System of Care • Implement through cohort community based model Communities of Excellence Family/Youth Partnership Key Strategies • Families involved at all levels from services to governance Draft Plan 6/20/12
Coordinated with Accountable Care Organizations (Medicaid) May be public agency, new non-profit, existing non-profit, non-profit HMOs or for-profit organization Care Management Entities Draft Plan 6/20/12
Financing Draft Plan 6/20/12
What happened to you instead of what’s wrong with you? Trauma Informed Draft Plan 6/20/12
A History of Maltreatment is the Norm among Children and Youth in Many Systems From ACF Commissioner Bryan Samuels’ Presentation to Blueprints Conference April 2012 (Miller, EA; Green, AE; Fettes ,DL & Aarons GA., 2011. Data come from a representative sample of 1,715 youths ages 6-18 in San Diego County. Draft Plan 6/20/12
The Overlap of Trauma and Mental Health SymptomsFrom ACF Commissioner Bryan Samuels’ Presentation to Blueprints Conference April 2012 (Griffin, Kisiel, McClelland Stolback & Holzberg, 2012) Draft Plan 6/20/12
Communities of Excellence Draft Plan 6/20/12
Important part of treatment team Part of paid workforce as family advocates and youth mentors (Voice/Choice Committee- CMP) Voting member of Governance Bodies Family/Youth Partnership Draft Plan 6/20/12
State Plan Division Plans Department Plans CDHS Strategic Plan Trauma Informed System of Care The Plans Align Draft Plan 6/20/12
Outcomes Draft Plan 6/20/12
Oversight Draft Plan 6/20/12
Partnership Your Logo Here Draft Plan 6/20/12